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New on AvailityTM: Enhanced Eligibility and Benefits Inquiry Screens and Functions

Posted August 19, 2015

An increasing number of products, plans and networks is available to Blue Cross and Blue Shield of Illinois (BCBSIL) members. Some of your patients may be new BCBSIL members, some may be changing plans and some may be new to health insurance altogether. This makes checking eligibility and benefits even more important as an essential first step before providing care and services.   

Electronic options are available for a variety of transactions, including eligibility and benefits requests. For example, the Availity Eligibility and Benefits Inquiry tool is available to registered Availity Web Portal users. This tool was enhanced recently with new screens and functions to help increase user friendliness. Enhancements include a request page that offers multi-patient lookup, a results list that can store up to 200 patient inquiries from the past 24 hours and expanded menu options.

Visit the Availity Eligibility and Benefits page for tip sheets and additional information. 

If you have questions or would like to schedule a training webinar to learn more about how to navigate the new screens, email our Provider Education Consultants at pecs@bcbsil.com

Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered. 

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.